Active NPI
Christine C Evanchick, M.D.
- Rheumatology Physician
- Springfield, MA
National Provider Identifier
1316975097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 58598
- Practice address
- 2150 Main St
Springfield, MA 01104-3300 - Phone
- (413) 739-5676
- Fax
- (413) 739-2278
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 58598 | MA | Primary |
Addresses
Primary practice location
2150 Main St
Springfield, MA 01104-3300
Mailing address
2150 Main Street
Springfield, MA 01104
Phone (413) 739-5676
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J05700 | Other | MA | BLUE CROSS BLUE SHIELD |
| 010058598MA01 | Other | CT | BLUE CROSS BLUE SHIELD |
| 3013545 | Medicaid | MA | |
| 058598 | Other | MA | TUFTS HEALTH PLAN |
| 23819 | Other | MA | HEALTH NEW ENGLAND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58598 | MA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mwa, PC | Past | Accepting new patients | |
| Riverbend Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sleep Disorder Diagnostic Clinic/Center
- Chicopee, MA
- NPI 1427280791
-
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1639280779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1316975097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 MAIN STREET",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01104",
"telephone_number": "413-739-5676",
"fax_number": "413-739-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011043300",
"telephone_number": "413-739-5676",
"fax_number": "413-739-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANCHICK",
"first_name": "CHRISTINE",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MA",
"license": "58598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J05700",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "010058598MA01",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3013545",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "058598",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "23819",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.